Tammie Diane Clark, LPN | |
9324 Taylor St E, Edgewood, WA 98371-1249 | |
(770) 910-2743 | |
Not Available |
Full Name | Tammie Diane Clark |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 9324 Taylor St E, Edgewood, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396638748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LP00049051 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tammie Diane Clark, LPN 9324 Taylor St E, Edgewood, WA 98371-1249 Ph: (770) 910-2743 | Tammie Diane Clark, LPN 9324 Taylor St E, Edgewood, WA 98371-1249 Ph: (770) 910-2743 |
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